Failure to Maintain Operational Elevators Resulting in Missed Dialysis Treatments
Penalty
Summary
The facility failed to ensure that both passenger elevators were maintained in safe and working condition, resulting in periods where neither elevator was operational. Documentation shows that the #2 passenger elevator was reported as out of service in December 2024 and remained inoperable for several months, with technicians indicating that additional resources were required for repairs. On a separate occasion, the #1 passenger elevator was also reported as shut down, and although technicians checked the unit, issues persisted. These elevator outages were confirmed through facility records and staff interviews. As a direct result of the inoperable elevators, residents residing on the second floor were unable to access the first-floor onsite dialysis center for their scheduled treatments. Specifically, dialysis treatments that had been rescheduled due to staffing issues could not be provided to some residents because the elevator was not functioning, preventing their transport to the dialysis center. Staff interviews corroborated that residents missed their dialysis sessions due to the elevator failures.